ELIAS MAMBERG MD PA


Address: 1301 North Harrison Street, Wilmington, DE 19806
Phone: 3024280337

ELIAS MAMBERG MD PA (NPI# 1134348527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134348527
Entity Type Organization
Organization Name ELIAS MAMBERG MD PA
Practice Address 1301 North Harrison Street
Wilmington
DE 19806
Mailing Address 1301 N Harrison St
Wilmington
DE 19806-3128
Practice Telephone 3024280337
Mailing Telephone 3024280337
Enumeration Date 2007-04-24
Last Update Date 2008-06-19
Authorized Official Name DR. ELAIS MAMBERG (DOCTOR)
Authorized Official Telephone 3024280337
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization 207V00000X DE Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
DE 0000018501 05

Office Location

Street Address 1301 NORTH HARRISON STREET
City WILMINGTON
State DE
Zip Code 19806

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134437338 Cvs Pharmacy Exclusive Provider Organization 6901 Market St, Wilmington, NC 28411-9727 2010-09-22
1982834602 Arnold L Sobol Od Pa Exclusive Provider Organization 251 N Front St, Wilmington, NC 28401-3907 2009-07-15
1033380423 Gregory L. Richardson Dds.ms.pa Exclusive Provider Organization 2606 Iron Gate Dr, Suite 101, Wilmington, NC 28412-2573 2008-03-13
1265473672 United Physician Multispecialty Group Inc Exclusive Provider Organization 1037 E Pacific Coast Hwy, Wilmington, CA 90744-2726 2006-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801271861 Informed Touch Massage Therapy Exclusive Provider Organization 905 Ibiza Ct, Townsend, DE 19734-3052 2015-07-20

Competitor

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City WILMINGTON
Zip Code 19806

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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